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Mentally stimulating brain games may delay dementia onset

Computer use and social activities were associated with a decreased risk of mild cognitive impairment in some study participants.

Longevity expert suggests doing something 'engaging and fun' to keep the mind sharp

New, mentally demanding tasks like quilting seem to be worthwhile to ward off cognitive decline, researchers say. (Jacquelyn Martin/Associated Press)
Older people who engage in mentallystimulating activities later in life may have a lower risk ofdeveloping mild cognitive impairment than their peers who don'tchallenge their minds, a study suggests.

For adults 70 and older without cognitive problems, playinggames was associated with a 22 per cent reduced risk of what'sknown as new-onset mild cognitive impairment, a condition thatcan happen before age-related declines in brain function giveway to full-blown dementia.

Working on crafts was tied to a 28 per cent lower risk ofmild cognitive impairment, computer use was linked to 30 per centsmaller odds and social activities were associated with 23per cent decreased risk, the study also found.

"Mentally stimulating activities perhaps in combination withknown healthy lifestyles such as exercise are simple andinexpensive activities that can potentially protect peopleagainst the development of mild cognitive impairment," saidsenior study author Dr. Yonas E. Geda, a psychiatry andneurology researcher at the Mayo Clinic in Scottsdale, Arizona.

To see how different activities might influence the odds ofdeveloping impairments, researchers examined data on 1,929adults age 70 and older who didn't have any cognitive problemsat the outset.

They evaluated participants every 15 months. Halfof their subjects stayed in the study for more than four years.

In surveys, participants reported how often they did variousactivities. Researchers then compared the risk of new-onset mildcognitive impairment based on whether people did activities atleast once or twice a week or no more than two or three times amonth.

At the start of the study, half of the participants were atleast 77 years old.

By the end of the study, 456 people had developed new-onsetmild cognitive impairment, according to a report in JAMANeurology.

Researchers took a closer look at a subset of 512 people whohad an increased risk of cognitive decline because they carrieda version of the apolipoprotein E (APOE) gene that is a riskfactor for mild cognitive impairment and Alzheimer's dementia.

For carriers of the high-risk APOE gene, only computer useand social activities were associated with a decreased risk ofmild cognitive impairment.

The study wasn't a controlled experiment designed to testwhether or how different activities might directly prevent ordelay the onset of cognitive decline, the authors note.

Some previous research has found that repeating familiaractivities, even challenging ones, may not necessarily be enoughto ward off cognitive decline, said Dr. Denise Park, a longevityresearcher at the University of Texas in Dallas who wasn'tinvolved in the current study.

Playing games or socializing at home may not protect thebrain against decline, but devoting several hours a week overseveral months to learning new activities may be associated withbetter brain function, Park said by email.

"Our research suggests mentally demanding, novel tasks likequilting or learning photography are worthwhile," Park added.

"Learning how to use a computer and many apps" also helped.Her advice to elderly people who want to keep their mindsharp: "Do something that is engaging and fun for you that youwant to spend time on."